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Polmed chronic application form pdf

Polmed continuation form 2025

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The document is an application form for continuation membership in a medical scheme, specifically designed for pensioners, dependants of deceased members, and medically boarded individuals. It outlines the necessary information and documentation required for submission, including personal details, banking information, and consent for sharing health information electronically. The form emphasizes the importance of completing all sections to avoid processing delays.

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Versions	Form popularity	Fillable & printable
2021	4.9 Satisfied (42 Votes)
2019	4.1 Satisfied (53 Votes)

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How do I cancel Polmed?

Heres how it works Send polmed cancellation form via email, link, or fax. You can also download it, export it or print it out. Draw your signature, type it, upload its image, or use your mobile device as a signature pad. Send polmed cancellation form via email, link, or fax.

How do I download the Polmed app?

SMARTPHONES - The Polmed Chat functionality is currently available on Android, Apple iOS, and Blackberry platforms. Simply download Polmed Chat free from the following link: or via your mobile app store and start chatting!

How do I claim from Polmed?

Visit any POLMED regional walk-in branch. Member refunds: If youve paid for a service directly and want to request a member refund, you need to submit your proof of payment (receipt or bank deposit slip) together with the service providers account that displays a zero balance for the claim.

Does Polmed have an app?

What must you do to use this application? SMARTPHONES - The Polmed Chat functionality is currently available on Android, Apple iOS, and Blackberry platforms. Simply download Polmed Chat free from the following link: or via your mobile app store and start chatting!

How do I download the AE app?

The AE App is available on the iTunes store, Google Play, and the Amazon App Store. You can also get the AE App for Roku through the Roku Channel Store. AE Apps are also available for Apple TV, Amazon Fire TV, Android TV and Samsung Tizen.

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How to change polmed plan?

You may change your plan online at .polmed.co.za. You simply need to log in to the Member zone to access this facility. PLEASE NOTE: Should you not return your plan selection form or complete your plan selection online by 31 December, you will remain on the same plan.